NUR 684- Test -1 QUESTIONS WITH ANSWERS,

NUR 684- Test #1 QUESTIONS WITH |\ |\ |\ |\ |\ |\




ANSWERS

Normal vaginal secretions- characteristics - CORRECT ANSWERS
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✔✔-Clear/cloudy/white
-Thin/mucoid
-Nonirritating


Leukorrhea (define) - CORRECT ANSWERS ✔✔An increase in the |\ |\ |\ |\ |\ |\ |\ |\ |\


amount of vaginal secretions; can be thin or thick, white
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discharge resulting from congestion of the vaginal mucosa and
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an increase in polymorphonuclear leukocytes (WBCs)
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^may be a normal finding! |\ |\ |\ |\




Most common STI in the USA? - CORRECT ANSWERS ✔✔HPV
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HPV- difference between types - CORRECT ANSWERS ✔✔Types 6
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& 11- common with genital warts
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Types 16, 18, 31, 33, 35- associated with cervical
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dysplasia/cancer
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^16 & 18 cause 70% of cervical cancer
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,Condyloma acuminata- symptoms/exam findings - CORRECT
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ANSWERS ✔✔-Single or multiple soft, fleshy, keratinized growths
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around vulvovaginal area, anus, or penis
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-Painless


Condyloma acuminata- diagnostic tests - CORRECT ANSWERS
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✔✔Diagnosis usually based on clinical presentation!
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-Consider VDRL/RPR to exclude syphilis
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-Biopsy only if atypical characteristics or no response to standard
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therapy
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Condyloma acuminata- complications - CORRECT ANSWERS ✔✔-
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Cervical dysplasia/cancer with certain HPV serotypes
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-Transmission to infant during vaginal delivery
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Condyloma acuminata- treatment (clinician-administered) -
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CORRECT ANSWERS ✔✔-Cryotherapy with liquid nitrogen or
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cryoprobe Q 1-2 weeks |\ |\ |\




-Trichloroacetic acid or bichloracetic acid |\ |\ |\ |\




-Surgical removal |\




Condyloma acuminata- treatment (patient-administered) -
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CORRECT ANSWERS ✔✔-Podofilox 0.5% solution/gel
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-Imiquimod 3.75% or 5% cream |\ |\ |\ |\




-Sinecatechins 15% ointment |\ |\

,Molluscum contagiosum- symptoms/exam findings - CORRECT
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ANSWERS ✔✔-1-5 mm smooth, round, firm, shiny, flesh colored
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to pearly white papules with central umbilication
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-Usually on trunk or anogenital areas
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-White cheesy material expressed from papule
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-Painless


Molluscum contagiosum- diagnostic tests - CORRECT ANSWERS
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✔✔Diagnosis based on clinical presentation! |\ |\ |\ |\




Molluscum contagiosum- complications - CORRECT ANSWERS
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✔✔-Secondary infection |\




Genital herpes- symptoms (primary episode) - CORRECT
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ANSWERS ✔✔-Painful, pruritic multiple vesicles
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-Dysuria, dyspareunia, watery vaginal discharge
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-Systemic symptoms (fever, HA, chills, malaise)
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^duration 2-3 weeks |\ |\




Genital herpes- symptoms (recurrent episodes) - CORRECT
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ANSWERS ✔✔-Prodrome often precedes eruption for 24 hours
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(itching, burning, tingling)
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-Less severe symptoms of shorter duration
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-No systemic symptoms
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, Genital herpes- diagnostic tests - CORRECT ANSWERS ✔✔-Clinical
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presentation with initial outbreak
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-HSV tissue culture or PCR test of lesions for confirmation
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-Serological type specific tests for HSV-1 and HSV-2 antibodies
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(several weeks after exposure)
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Genital herpes- complications - CORRECT ANSWERS ✔✔-
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Increased pregnancy loss & preterm labor of initially infected
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during pregnancy|\




-Transmission to infant if active lesions at time of delivery
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-Secondary infection of lesions, urethral strictures
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Genital herpes- treatment - CORRECT ANSWERS ✔✔**Acyclovir
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400 mg PO TID for 7-10 days**
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-OR
-Famciclovir 250 mg PO TID for 7-10 days |\ |\ |\ |\ |\ |\ |\




-OR-
-Valacyclovir 1 gm PO BID for 7-10 days |\ |\ |\ |\ |\ |\ |\




Chlamydia- symptoms - CORRECT ANSWERS ✔✔Females:
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-dysuria
-vaginal discharge |\




-abnormal bleeding/postcoital spotting
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-PID symptoms
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